Witte, Bruce H

Witte, Bruce H is an sole proprietor health care provider with primary practice located at 226 S Woods Mill Rd Suite 52 West, Chesterfield MO 63017-3662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Witte, Bruce H can be contacted via phone (314) 434-2399.

Contact Information

Primary practice address
226 S Woods Mill Rd Suite 52 West Chesterfield MO 63017-3662
Fax: (314) 434-5653
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R4N45 Missouri

Profile Details

NPI number 1174593578
LBN Legal business name Witte, Bruce H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Mar 30th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174593578 NPPES
Missouri Other 4026 BC/BS MISSOURI
Missouri MEDICAID 203326111 BC/BS MISSOURI

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